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Economics Essay

1874 words - 8 pages

•Chapter 67

Musculoskeletal Care Modalities

•Question
What is a cast?
A.Bandage used to support a body part.
B.Rigid external immobilizing device molded to contours of body part.
C.Device designed specifically to support and immobilize a body part in a desired position.
D.Externally applied device to support the body or a body part, control movement, and prevent injury.
•Answer
B

A sling is a bandage used to support a body part. A cast is a rigid external immobilizing device molded to contours of body part. A splint is a device designed specifically to support and immobilize a body part in a desired position. A brace is an externally applied device to support the body or a ...view middle of the document...

•Braces (ie, orthoses) are used to provide support, control movement, and prevent additional injury. They are custom fitted to various parts of the body.
•Nursing Process: The Care of the Patient with a Brace, Splint or Cast—Assessment
•Prior to application
–General health assessment
–Emotional status
–Presenting signs and symptoms and condition of the area
•Knowledge
•Monitoring of neurovascular status and for potential complications
•Question
Is the following statement True or False?

A patient’s unrelieved pain should be reported to the physician 30 minutes after administered pain medication.
•Answer
False

A patient’s unrelieved pain must be immediately reported to the physician to avoid possible paralysis and necrosis.
•Nursing Process: The Care of the Patient with a Brace, Splint, or Cast—Diagnoses
•Deficient knowledge
•Acute pain
•Impaired physical mobility
•Self-care deficit
•Impaired skin integrity
•Risk for peripheral neurovascular dysfunction
•Collaborative Problems/Potential Complications
•Compartment syndrome
•Pressure ulcer
•Disuse syndrome
•Delayed union or nonunion of fracture(s)
•Cross-Section of Normal Muscle Compartments and Cross-Section with Compartment Syndrome
•Nursing Process: The Care of the Patient with a Brace, Splint, or Cast—Planning
•Major goals include knowledge of the treatment regimen, relief of pain, improved physical mobility, achievement of maximum level of self-care, healing of any trauma-associated lacerations and abrasions, maintenance of adequate neurovascular function, and absence of complications.
•Interventions
•Relieving pain
–Elevation to reduce edema
–Intermittent application of ice or cold
–Positioning changes
–Administration of analgesics
•Note: Unrelieved pain may indicate compartment syndrome; discomfort due to pressure may require change of cast
•Muscle-setting exercises

•Patient teaching

•Interventions
•Healing skin wounds and maintaining skin integrity
–Treat wounds to skin before the brace, splint, or cast is applied
–Observe for signs and symptoms of pressure or infection
•Note: Patient may require tetanus booster
•Maintaining adequate neurovascular status
–Assess circulation, sensation, and movement
–Five “P’s”
–Notify physician of signs of compromise at once
–Elevate extremity no higher than the heart
–Encourage movement of fingers or toes every hour
•External Fixation Devices
•Used to manage open fractures with soft tissue damage
•Provide support for complicated or comminuted fractures
•Patient requires reassurance due to appearance of device
•Discomfort is usually minimal and early mobility may be anticipated with these devices.
•Elevate to reduce edema
•Monitor for signs and symptoms of complications including infection
•Pin care
•Patient teaching
•External Fixation Device
•Question
Is the following statement True or False?

The nurse never adjusts the clamps on the external fixator frame.
•Answer
True

The...

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